LEASE AMENDMENT AGREEMENT
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Effective Date: ________________________________________________________
Place: _________________________________________________________________

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1. Parties to the Agreement
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This Agreement is entered into on ____________________ (____________________) by and between:

Landlord
Individual
Full Legal Name: _______________________________________________________
SSN / ID: ______________________________________________________________
Doc Series: ____________________________________________________________
Address: _______________________________________________________________
         _______________________________________________________________

Tenant
Individual
Full Legal Name: _______________________________________________________
SSN / ID: ______________________________________________________________
Doc Series: ____________________________________________________________
Address: _______________________________________________________________
         _______________________________________________________________

2. SUBJECT-MATTER SCHEDULE & SPECIFICATIONS
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Date of the Original Lease: ____________________________________________
Rented Property Address: _______________________________________________
Terms Being Changed (clause and old wording):
    ____________________________________________________________________
New Wording of Those Terms: ____________________________________________
Date the Changes Take Effect: __________________________________________
Statement on Terms Not Changed: ________________________________________

3. EXECUTION & SIGNATURES
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Landlord

Signature: _____________________________________________________________

Full Legal Name: _______________________________________________________
Date: __________________________________________________________________

Tenant

Signature: _____________________________________________________________

Full Legal Name: _______________________________________________________
Date: __________________________________________________________________